LaCharity prioritization delegation assignment EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

Exam

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Chapter 17 Prioritization Delegation and Assignment 2 zm zm zm zm zm zm




026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (98E92) zm zm




QUESTION 1 zm




The nurse obtains the health history of a 37-year-
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old woman who is requesting contraceptive therapy. Which information about the clie
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nt will have the *most* impact on the choice of contraceptive? •History of uterine fibr
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oids •Blood pressure of 136/80 mm Hg •Cigarette smoking of a pack/day •Planning o
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utpatient oral surgery zm zm




ANSWER

•Cigarette smoking of a pack/day •The most commonly prescribed oral contraceptives are combinati
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on estrogen-progestin medications, but estrogen-
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containing oral contraceptives are contraindicated for women who are older than 35 years and who
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msmoke because of the increased risk for thromboembolism. A progestin-
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only oral contraceptive or an intrauterine device (IUD) may be prescribed for this client. Estrogen-
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containing contraceptives may stimulate fibroid growth and elevate blood pressure, but these are rel
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ative contraindications. It is recommended that estrogen-
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containing contraceptives be discontinued a few weeks before surgeries that might impair mobility a
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nd increase venous thromboembolism risk, but oral surgery will not affect mobility.
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QUESTION 2 zm




A postmenopausal woman who is taking raloxifene for osteoporosis calls the clinic nu
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rse with these concerns. Which information indicates a need for *immediate* further
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evaluation? •Experiences hot flashes several times weekly •Describes family history of
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mcoronary artery disease •Reports nasal stuffiness and runny nose •Notices swelling an
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d tenderness in left calf
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ANSWER

•Notices swelling and tenderness in left calf •Raloxifene increases the risk for deep vein thrombosis
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and pulmonary embolism, and the client should be evaluated further with an examination, possible v
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enous ultrasonography, and coagulation studies. Hot flashes and nasal congestion are common side e
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